Individual provider · Type 1 NPI

Fred Fulton Iv

Professional Counselor · Delhi, LA

NPI number 1154725315 Active

Practice location

501 Broadway St
Delhi, LA 71232-3001

Mailing address

109 Larche Dr
West Monroe, LA 71291-5401

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1154725315

Fred Fulton Iv's National Provider Identifier is 1154725315, issued on Oct 17, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Delhi, LA. The record was last updated on Jun 2, 2021.